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Cynthia M Bazan, CMT
Massage Therapist in La Mesa, California
NPI 1215613500

Cynthia M Bazan is a Massage Therapist based in National City, CA. Cynthia M Bazan practices in La Mesa, CA and has the professional credentials of CMT. The NPI Number for Cynthia M Bazan is 1215613500 and holds a License No. 23628 (California).

The current practice location address for Cynthia M Bazan is 5575 Lake Park Way Ste 100-18, La Mesa, CA and can be reached out via phone at 619-259-4424.

Location: 5575 Lake Park Way Ste 100-18, La Mesa, CA, 91950-3660
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215613500
Provider Name
Cynthia M Bazan
Credential
CMT
Provider Entity Type
Individual
Gender
Female
Address
5575 Lake Park Way Ste 100-18, La Mesa, CA, 91950-3660
Phone Number
619-259-4424
Fax Number
Provider Enumeration Date
06/22/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
23628 01 CA CAMTC
institution
Provider Business Practice Location Address Details
Address
5575 Lake Park Way Ste 100-18
City
La Mesa
State
California
Zip
91942-1664
Phone Number
619-259-4424
Fax Number
person
Provider Business Mailing Address Details
Address
5575 Lake Park Way Ste 100-18
City
La Mesa
State
California
Zip
91942-1664
Phone Number
619-259-4424
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
23628 (California)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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